Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $3,043.00 / $6,915.00	Facility		$214.51	$3,043.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $234.00 / $523.94	Professional		$153.56	$234.00	$523.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.05 / $480.36 / $480.36	Professional		$454.05	$480.36	$480.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $239.58 / $502.59	Professional		$166.45	$239.58	$502.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.81 / $240.81 / $266.62	Facility		$176.81	$240.81	$266.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $319.10 / $321.19 / $574.41	Professional		$319.10	$321.19	$574.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.68 / $257.13 / $501.11	Professional		$153.68	$257.13	$501.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $258.73 / $388.10	Professional		$194.49	$258.73	$388.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $9,990.00	Facility		$1,036.00	$3,629.00	$9,990.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $257.76 / $503.70	Professional		$182.58	$257.76	$503.70